Active NPI
Caroline Vizcaya, DMD
- Pediatric Dentistry
- Glen Cove, NY
National Provider Identifier
1598893216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 052928
- Practice address
- 10 Cedar Swamp Rd
Suite 2
Glen Cove, NY 11542-3700 - Phone
- (516) 987-2449
- Fax
- (516) 671-7960
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 052928 | NY | Primary |
Addresses
Primary practice location
10 Cedar Swamp Rd
Suite 2
Glen Cove, NY 11542-3700
Mailing address
10 Cedar Swamp Rd
Suite 2
Glen Cove, NY 11542-3700
Phone (516) 987-2449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052928 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1598893216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CEDAR SWAMP RD",
"address_2": "SUITE 2",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115423700",
"telephone_number": "516-987-2449",
"fax_number": "516-671-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CEDAR SWAMP RD",
"address_2": "SUITE 2",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115423700",
"telephone_number": "516-987-2449",
"fax_number": "516-671-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZCAYA",
"first_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "052928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.